Drug Addiction As Coping with Social Dislocation
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DRUG ADDICTION AS COPING WITH SOCIAL DISLOCATION by Katherine Wilds APPROVED BY SUPERVISORY COMMITTEE: ___________________________________________ Bobby C. Alexander, Chair ___________________________________________ Bruce A. Jacobs ___________________________________________ Richard K. Scotch Copyright 2020 Katherine Wilds All Rights Reserved To Michael and Rob. DRUG ADDICTION AS COPING WITH SOCIAL DISLOCATION by KATHERINE WILDS, BA THESIS Presented to the Faculty of The University of Texas at Dallas in Partial Fulfillment of the Requirements for the Degree of MASTER OF SCIENCE IN APPLIED SOCIOLOGY THE UNIVERSITY OF TEXAS AT DALLAS May 2020 ACKNOWLEDGMENTS I wish to express my deepest gratitude to my supervisor, Dr. Bobby Alexander, who guided and encouraged me throughout this process. Without his sincere and dedicated support, wealth of knowledge, and extensive experience, the goal of this project would not have been realized. I also wish to thank the faculty that has helped me discover and achieve my goals throughout my academic career -Dr. Richard Scotch, Dr. Bruce Jacobs, Dr. Sheryl Skaggs, Dr. John Malek- Ahmadi, and Dr. Elmer Polk – learning from these esteemed professors has been invaluable. Lastly, I wish to acknowledge the financial and emotional support of my friends and family, my boyfriend, Patrick; and my dad, Tom. They kept me grounded, determined, and this work would not have been possible without them. April 2020 v DRUG ADDICTION AS COPING WITH SOCIAL DISLOCATION Katherine Wilds, MS The University of Texas at Dallas, 2020 ABSTRACT Supervising Professor: Bobby C. Alexander There has been a rising trend of drug addiction in the United States and criminal sanctions and social policies have worked to ameliorate this issue. Previous research has looked at drug addiction as an “adaptation” to psychosocial distress, specifically “social dislocation”. Essentially addiction is a coping mechanism with a purpose that benefits the individual. The research question the study is designed to address is: What is the experience of the adaptive dimension of addiction to illegal drugs as a means of adapting to social dislocation, or lack of social integration, and how does the experience of drug addiction's adaptive dimension as a way of adapting to social dislocation work? Through interviews with individuals that have been addicted to drugs, this can be explored and assist in creating a more comprehensive way of tackling the issue of drug addiction in the United States. vi TABLE OF CONTENTS ACKNOWLEDGEMENTS……………….……………………………..…….………………… v ABSTRACT………………………….……….…………..…………………………………...... vi CHAPTER 1 INTRODUCTION…………..…….…………..…………….……………….......…..1 CHAPTER 2 REVIEW OF THE LITERATURE…….......………….……..….…...…................ 5 CHAPTER 3 THEORETICAL FOUNDATION……………..........………...…….…...................8 CHAPTER 4 METHODS…………………........…...………..………………………...………..10 CHAPTER 5 FINDINGS………………….......……………………..………..............................12 CHAPTER 6 PROGRESS REPORT………………………………....………..…….…………..13 CHAPTER 7 POLICY RELEVANCE……………....…...........……..…………….……….…...15 BIBLIOGRAPHY…………………………………………..…………………………………....18 BIOGRAPHICAL SKETCH………………………………………………..…………………...20 CURRICULUM VITAE……..……………………….……………….……………..…………..21 vii CHAPTER 1 INTRODUCTION Research Problem There has been a rising trend of individuals suffering from drug addiction in the United States. Data obtained from the National Survey on Drug Use and Health assert that 20.3 million Americans (age 12 and older) were diagnosed with a substance use disorder in 2017 (Substance Abuse and Mental Health Services Administration, 2018). Additionally, data from the CDC shows that “there were 70,237 drug overdose deaths in the United States” in 2017 (Hedegaard, Minino, & Warner, 2018). Inadequate psychosocial integration, also referred to as “dislocation”, is a common theme with those who have an addiction to drugs (Alexander, 2000). Dislocation is the lack of connection with others, which research has shown is a core psychological need that all humans have (Hari, 2015). Humans have psychosocial needs that, if unmet, contribute to psychological distress. If the need of social connection is not met, individuals may “adapt” to this lack of connection, stemming from dislocation, by using and subsequently becoming addicted to drugs (Alexander & Hadaway, 1982). Criminal justice and rehabilitation policies, currently created in response to the exposure or disease models, alienate drug addicts and cut them off from society, which may in fact be perpetuating their addiction (Hari, 2015). Understanding psychosocial dislocative and psychological disintegrative features of drug addiction is important for several reasons; it can give a voice to a marginalized and stigmatized group, provide a different perspective on drug addiction, and it can also lead to the implementation of new policies that target the treatment of 1 individuals who are addicted to drugs. This research seeks to understand the adaptive, or coping, dynamic of drug addiction as a way these individuals address their social dislocation. Research Purpose The purpose of this qualitative, phenomenological study (Creswell, 2013) is to understand the experience of the phenomenon of addiction to illegal drugs' adaptive dimension as a means of dealing with “social dislocation,” the inadequate psychosocial integration of individuals who are addicted to illegal drugs with members of society (Alexander, 1990). Specifically, this phenomenological study seeks to understand the "essence" of the "lived experience" (Creswell, 2013) of drug addiction's adaptive dimension as a "mechanism" (Creswell, 2013), or a means, of dealing with social dislocation. This study seeks to understand phenomenologically what the experience of drug addiction's adaptative dimension as a way of dealing with social dislocation is. This study also seeks to understand phenomenologically how this experience of drug addiction's adaptive dimension vis-à-vis social dislocation works. As has been noted, this qualitative, phenomenological study is designed to contribute findings about the essence of the experience of addiction to illegal drugs' adaptive dimension vis- à-vis social dislocation. The detailed and nuanced detailed data gathered and analyzed through coding for patterns, themes, and contradictory and unexpected information, together with findings about what this experience is essentially and how the adaptive dimension of addiction to illegal drugs works will contribute to our understanding of the social features of drug addiction that has been established in the discipline of Psychology. This study’s phenomenological design fills in a methodological gap by gathering data and analyzing them phenomenologically, contributing a phenomenological perspective to our understanding of the experience of addiction 2 to illegal drugs as adaptive in relation to social dislocation. There are Phenomenological studies that have been done on the lived experience of drug addiction however they address other factors (such as spiritual transformation and the lived experience of going through recovery itself) and do not reference social dislocation in their analysis. The rationale for this study is to help to fill in a gap in the current research literature in the field of Criminology and Crime and Justice Studies. The literature in this discipline neglects the adaptive dimension of addiction to illegal drugs as a means of adapting individuals who are addicted to illegal drugs to their social dislocation from society; it focuses instead on the chemical and physical dimensions of drug addiction. The literature in Criminology and Crime and Justice Studies treats drug addiction as a chemical and physical phenomenon and does not give attention to social contributions to and features of drug addiction as adaptive behavior, in particular social dislocation. Furthermore, drug addiction's adaptive dimension vis-à-via social dislocation challenges current drug addiction rehabilitation practice and therapies, which treat mainly chemical and biological features of addiction and not its social features, particularly social dislocation. This study will gather detailed data and nuanced detailed data about the lived experience of participants’ relationships with their family members, friends, and others; their thoughts and feelings about these relationships as they lived their lives from day to day and how these thoughts and feelings affected their day-to-day lives, particularly in relation to their family members, friends, and others; those particular experiences that contributed to their use of illegal drugs, especially their experiences of a certain social relationship or relationships; the character 3 and quality of these relationships concerning social dislocation; and how all of these express social dislocation. Research Question The research question the study is designed to address is: What is the experience of the adaptive dimension of addiction to illegal drugs as a means of adapting to social dislocation, or lack of social integration, and how does the experience of drug addiction's adaptive dimension as a way of adapting to social dislocation work? The research question will be addressed through a one-on-one interview consisting of six questions about the participant's past experience of addiction to illegal drugs and their relationships with family, friends, and others. 4 CHAPTER 2 REVIEW OF THE LITERATURE With the literature from Criminology and Crime and Justice Studies not giving